The Being Equally Well national policy roadmap: providing better physical health care and supporting longer lives for people living with serious mental illness

Calder, Rosemary; Dunbar, James; Courten, Maximilian P. de

doi:10.5694/mja2.51717

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…Discussions with stakeholders identified that, while accessing a GP is important, preventive care of PWLE engaged with MHSs relies upon coordination over time. Recommendations for coordinated care are consistent with general principles of effective PHC as well as reviews on what is needed for PWLE (Firth et al 2019;Calder et al 2022). Primary care is considered the optimal setting for coordinating complex chronic conditions (Firth et al 2019).…”

Section: Coordinated/shared Carementioning

confidence: 94%

Access to general practice for preventive health care for people who experience severe mental illness in Sydney, Australia: a qualitative study

Spooner,

O’Shea,

Fisher

et al. 2024

Aust. J. Prim. Health

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Background People with lived experience of severe mental illness (PWLE) live around 20 years less than the general population. Most deaths are due to preventable health conditions. Improved access to high-quality preventive health care could help reduce this health inequity. This study aimed to answer the question: What helps PWLE access preventive care from their GP to prevent long-term physical conditions? Methods Qualitative interviews (n = 10) and a focus group (n = 10 participants) were conducted with PWLE who accessed a community mental health service and their carers (n = 5). An asset-based framework was used to explore what helps participants access and engage with a GP. A conceptual framework of access to care guided data collection and analysis. Member checking was conducted with PWLE, service providers and other stakeholders. A lived experience researcher was involved in all stages of the study. Results PWLE and their carers identified multiple challenges to accessing high-quality preventive care, including the impacts of their mental illness, cognitive capacity, experiences of discrimination and low income. Some GPs facilitated access and communication. Key facilitators to access were support people and affordable preventive care. Conclusion GPs can play an important role in facilitating access and communication with PWLE but need support to do so, particularly in the context of current demands in the Australian health system. Support workers, carers and mental health services are key assets in supporting PWLE and facilitating communication between PWLE and GPs. GP capacity building and system changes are needed to strengthen primary care’s responsiveness to PWLE and ability to engage in collaborative/shared care.

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Section: Coordinated/shared Carementioning

confidence: 94%

Access to general practice for preventive health care for people who experience severe mental illness in Sydney, Australia: a qualitative study

Spooner,

O’Shea,

Fisher

et al. 2024

Aust. J. Prim. Health

View full text Add to dashboard Cite

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The effect of exercise on global, social, daily living and occupational functioning in people living with schizophrenia: A systematic review and meta-analysis

Korman

Stanton

Vecchio

et al. 2023

Schizophrenia Research

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An effective approach to tackling complex health policy challenges. Using a clinical microsystems approach and rethinking codesign

Duggan,

Dunbar,

Morgan

et al. 2024

Front. Public Health

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That people with serious mental illness have poor physical health and face a significant life expectancy gap compared with the general population is well known. Despite considerable policy focus in some countries, the gap in life expectancy remains. Tackling complex and persistent health problems such as this requires a systems-based approach, recognising the complexity of interacting components and their effects on the problem and on each other and applying collaborative analysis, design and implementation by those with knowledge of and expertise in the problem and the context. This paper describes the methods used to develop the Australian Being Equally Well National Policy Roadmap for better physical health care and longer lives for people with severe mental illness. Whilst recognising that high rates of physical health comorbidities are caused by many factors including lifestyle, access to high-quality healthcare and medication side effects, the work was focused on what could be done within Australian primary care to improve the physical health of this cohort. A Clinical Microsystem Approach was applied to synthesise clinical evidence with professional and lived experience, and an innovative policy development process was established, creating trust across all system levels. Participants with different kinds of knowledge and experience worked in discrete groups according to their professional or expert role whilst also being supported to participate in an intensive cross-collaboration. The potential value of this methodology for tackling other complex problems in health policy is discussed.

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The Being Equally Well national policy roadmap: providing better physical health care and supporting longer lives for people living with serious mental illness

Cited by 3 publications

References 7 publications

Access to general practice for preventive health care for people who experience severe mental illness in Sydney, Australia: a qualitative study

Access to general practice for preventive health care for people who experience severe mental illness in Sydney, Australia: a qualitative study

The effect of exercise on global, social, daily living and occupational functioning in people living with schizophrenia: A systematic review and meta-analysis

An effective approach to tackling complex health policy challenges. Using a clinical microsystems approach and rethinking codesign

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